TMJ Treatments Questions and Answers Archive

Feb
2002

Q&A: What can my mother do regarding TMJ and is now addicted to the pain medicines and has developed a tolerance?

Question:

My mother has been suffering from TMJ for years now and has become addicted to the pain medications prescribed to her. She has seen every doctor in our city and no one can seem to help her, just keep suggesting odd treatments and prescribing more pain killers. After about 8 years of this, she just now got a splint. She has only had it for a couple of weeks, but the doctors tell her it could take her many more years before she feels any kind of relief. She is already suffering from depression and has built up such a tolerance to the pain meds that she runs out of her prescription two weeks before it is time to refill and is in pain half of the month, essentially more than half of her day to day life. She is only 43 and spends most of her life in bed. I am convinced that she is a perfect candidate for surgery, but I need a professional opinion with help in weighing the pros and cons (at this point, anything EFFECTIVE is an option) and possibly help in finding a good surgeon in our area. She needs her life back, please help me!

- Crystal

Answer:

 David A. King, DDS - LocateADoc.com

Unfortunately, providing the correct solution for your mothers problem is impossible without seeing her in person. Take her to a surgeon for an evaluation.

-- David A. King, DDS
Wilmington, Delaware



Jun
2001

Q&A: What types of treatment are available and what are the success rates for a locked right TMJ (disc)?

Question:

I have a locked right TMJ (disc). What types of treatment are available and what are the success rates.

- Becky

Answer:

David A. King, DDS - LocateADoc.com

Many options are available both surgical and non-surgical. If this is a recurring or chronic problem, you need to be examined by an OMFS in your area who will be able to give you a better evaluation than I can on my computer. Dont be afraid to ask s/he questions just like this one.

--David A. King, DDS
Wilmington, Delaware



Sep
2000

Q&A: What should I do if I might have fibromyalgia and I currently have continued pain from TMJ / TMD?

Question:

I have had TMD for the past 9 years and have tried several tx. including drugs, antiflamators, pain pills, muscle relaxers, accupuncture, tens unit, splint and ice and heat. I recently had an arthrigram which indicated markedly displaced discs on both sides and severly limited translation. It is recommended that I have soft tissue repair surgery that will move my TMJ joints back into their normal postion and cartlidge will be added from my ear. My question is what is the sucsess rate of this type of surgery and what is the post operative proceedure. Also should I get a second opionion. I am in sever pain most of the time and often unable to work full time. i also have fibromyalgia and I believe nerve damage in my face muscles although this has not been confirmed

- Rhonda

Answer:

David A. King, DDS - LocateADoc.com

If you have been diagnosed with fibromyalgia by a Rheumatologist, succesful treatment of the fibromyalgia may also bring a relief to the TMJ symptoms. Repositioning of the disk can help recover alot of function but if this has been a chronic problem, physical therapy after surgery may be warranted to help regain some range of motion. A second opinion can be helpful.

--David A. King, DDS
Wilmington, Delaware



Feb
2000

Q&A: What is a Myofacial doctor and can they help me with TMD issues?

Question:

My oral surgeon has recommended that I go to a miofacial doctor. What type doctor is this an how can he help my TMJ(TMD). I have already had 3 TMJ surgeries and am in still in alot of discomfort.

- Susan

Answer:

A myofacial specialist is someone who has had extra training in the treatment of TMJ/TMD problems. I would suggest you find out about his/her training before you start training. Too many times there are general dentists who take a few weekend courses over the years and call themselves expert. Your doctor should have had a residency at an accredited hospital. That residency should have been at least two years in length. There are very few true myofacial specialists, although there are many dentists who consider themselves as such.

--Charles R. McNamara, DMD
Winter Park, Florida